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Journal of Children's Orthopaedics
Published in: Journal of Children's Orthopaedics 3/2014

Open Access 01-05-2014 | Original Clinical Article

Management of paediatric tibial fractures using two types of circular external fixator: Taylor spatial frame and Ilizarov circular fixator

Authors: Suhayl Tafazal, Sanjeev S. Madan, Farhan Ali, Manoj Padman, Simone Swift, Stanley Jones, James A. Fernandes

Published in: Journal of Children's Orthopaedics | Issue 3/2014

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Abstract

Background

The use of circular fixators for the treatment of tibial fractures is well established in the literature. The aim of this study was to compare the Ilizarov circular fixator (ICF) with the Taylor spatial frame (TSF) in terms of treatment results in consecutive patients with tibial fractures that required operative management.

Method

A retrospective analysis of patient records and radiographs was performed to obtain patient data, information on injury sustained, the operative technique used, time duration in frame, healing time and complications of treatment. The minimum follow-up was 24 months.

Results

Ten patients were treated with ICF between 2000 and 2005, while 15 patients have been treated with TSF since 2005. Two of the 10 treated with ICF and 5 of the 15 treated with TSF were open fractures. All patients went on to achieve complete union. Mean duration in the frame was 12.7 weeks for ICF and 14.8 weeks for the TSF group. Two patients in the TSF group had delayed union and required additional procedures including adjustment of fixator and bone grafting. There was one malunion in the TSF group that required osteotomy and reapplication of frame. There were seven and nine pin-site infections in the ICF and TSF groups, respectively, all of which responded to antibiotics. There were no refractures in either group.

Conclusion

In an appropriate patient, both types of circular fixator are equally effective but have different characteristics, with TSF allowing for postoperative deformity correction. Of concern are the two cases of delayed union in the TSF group, all in patients with high-energy injuries. We feel another larger study is required to provide further clarity in this matter.

Level of evidence

Level II—comparative study.
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Metadata
Title
Management of paediatric tibial fractures using two types of circular external fixator: Taylor spatial frame and Ilizarov circular fixator
Authors
Suhayl Tafazal
Sanjeev S. Madan
Farhan Ali
Manoj Padman
Simone Swift
Stanley Jones
James A. Fernandes
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 3/2014
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-014-0583-2

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